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Burnout Among Osteopathic Otolaryngology Residents: Identification, Prevention, and Treatment During Formative Training Years

Journal: The Journal of the American Osteopathic Association Date: 2012/08, 112(8):Pages: 529-530. doi: Subito , type of study: cross sectional study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2012.112.8.529/html)

Keywords:

burnout [26]
cross sectional study [842]
medical students [647]
osteopathic medicine [2025]
otolaryngology [8]
residency [326]
USA [1656]

Abstract:

Hypothesis: Osteopathic otolaryngology residents experience lower rates of burnout compared with previously published rates for Accreditation Council for Graduate Medical Education (ACGME) residents. Methods: A cross-sectional, questionnaire-based study of US osteopathic otolaryngology residents was conducted. The questionnaire, adapted with permission from a published survey, was generated using Zoomerang survey software and e-mailed to all residents matriculated in US osteopathic otolaryngology residency programs. The 23 questions (6 requiring multiple responses) were divided into demographic information, professional stressors, personal and professional life satisfaction, a modified Maslach Burnout Inventory–Human Services Survey (MBI-HSS, used with permission) and mentor-resident interactions. Using the MBI-HSS, burnout rates were measured by high emotional exhaustion (EE), high depersonalization (DP), and low personal accomplishment (PA). Results were compared with published results for ACGME residents. Osteopathic and ACGME residents were compared using χ2 and t tests. Spearman correlations were used to test for associations between burnout scores and demographics, stressors, satisfaction, and mentor interaction. Results: Of the 102 residents contacted, 48 (47%) responded. Burnout rates were low, moderate, and high for 23%, 66%, and 11%, respectively, for osteopathic residents, compared with rates of 14%, 76%, and 10%, respectively, for ACGME residents (P=.18). Rates of EE and DP were not statistically different between osteopathic residents and ACGME residents, but PA scores were higher in osteopathic residents (P=.03). Differences in sleep hours (6.6 vs 6.2, P=.04) and work hours (62 vs 71, P<.001) were not statistically significant. Increased EE was associated with decreased hours of sleep (r=-0.42, P=.003). No correlations were found between sleep and DP or PA. Increased influence from a mentor was associated with decreased burnout rate for all 3 components: EE (r=-0.54, P=.002), DP (r=-0.59, P=.0006), and PA (r=0.44, P=.02). Conclusion: To our knowledge, the current study is the first to quantify burnout among osteopathic residents. Our results suggest that osteopathic residents have lower rates of burnout compared with ACGME residents. Osteopathic residents reported lower rates of low PA, increased hours of sleep and decreased overall work hours. The study was limited by a small sample size and moderate response rate.


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